PDF Registration Form

Transcription

PDF Registration Form
REGISTRATION FORM
REGISTRATION FEES
This is a Three Day Event
Rallye Glenwood Springs 2015
June 12, 13 and 14, 2015
The sale of products and services other than those offered by
the MGCC RMC is strictly prohibited during this event.
PLEASE PRINT CLEARLY Registration
All Inclusive Package Fee per car includes the Rallye, Tour, Car
Show and Funkhana, plus one fascia plate with this year’s logo.
Gear Shift Social
Driver
Mingle through the patio, area or just relax with a light buffet!
You’ll be able to purchase a cocktail or non-alcoholic beverage
separately. Price includes tax and gratuity per person.
Street Address
City State Zip Phone Item
Description
Registration
E-mail Address
Club Affiliation
Inclusive Before May 20th
$45/car
Car Show Only
$20/car
Inclusive After May 20th
$55/car
Car Show Only June 14th
$25/car
Gear Shift Social
Light Buffet
Regalia
(total from Regalia order form)
Navigator
Total Cost
$35/person
Please complete and return the 2nd page list of events you are entering.
City Regalia Pre-orders due by May 22nd!
State
Zip Phone
E-mail Address
Club Affiliation
Car License Plate No. & State
Qty
TOTAL DUE
Street Address
Car Make & Model Cost
Year Please make checks payable to: MGCC
Mail Registration Form and Payment to:
Cathy Knopinski - 7663 South Harrison Way, Centennial, CO 80122
You may pick up your Regalia Pre-sale items at the Startline or at the
Courtyard Marriot in Glenwood Springs. If you have any questions
about Regalia contact Cathy Gunderson at 303-791-4902.
Visit our website www.mgcc.org.
Click on Regalia for photos of most items.
REGALIA PRE-SALE ORDER FORM
WAIVER
Rallye Glenwood Springs 2015
Name
Street Address
City State Zip Phone E-mail
Detailed descriptions of all of our Rallye Glenwood Springs 2015 Regalia are on the next
page. While endeavoring to bring you the latest regalia items it can be difficult to fully
describe the subtleties of a specific item. Therefore we have created a Rallye Glenwood
Springs 2015 Regalia Internet Page which can be accessed from our MGCC club page,
www.mgcc.org. Please review the pictures and information provided on this web page
before choosing an item to ensure you understand the item description before ordering.
Make sure you have written the item #, color, size and quantity correctly for each item on
your order form. Please note there will be no returns for your incorrect item size, colour, or
quantity choices. ALL SALES ARE FINAL.
You may pick up your Regalia Pre-sale items at the Startline or at the Courtyard Marriot in
Glenwood Springs. If you have any questions, contact Cathy Gunderson at 303-791-4902.
Name of
Item
Car Color
MGO (color)
MGSF, RMC
or OFF
Garment
Color
Size
Screen
Print Size
& Location
(T-shirts)
Qty
Cost of
Extras (tall,
X size, DIF
or OFF
Price
per
Item
All drivers need current car insurance and a valid driver’s license to
participate in moving events.
WAIVER: Please read carefully and sign the following:
I am aware of the hazards inherent with motor vehicle events and
specifically release and do indemnify the organizers, supporting sponsors
and the MG Car Club Rocky Mountain Centre, collectively and separately
from any and all liability from personal injury and property damage
incurred by me or my guests while participating in this rallye. Driver
Navigator
FOR ADDITIONAL INFORMATION OR QUESTIONS
PLEASE CONTACT:
Registrar
Cathy Knopinski - 303-779-8739 or glenwoodrallye2015@comcast.net
Chairperson
Derek Prechtl – 231-642-1898 or dprechtl@hagerty.com
Or visit our website at www.mgcc.org
Total
Cost
PLEASE MAKE CHECKS OR MONEY ORDERS PAYABLE
TO MGCC AND MAIL THIS FORM TO:
Cathy Knopinski - 7663 South Harrison Way, Centennial, CO 80122
FOR ADMINISTRATIVE PURPOSES,
PLEASE INDICATE BELOW ALL OF THE EVENTS IN
WHICH YOU WILL BE PARTICIPATING.
o Rallye o Tour
o Car Show o Funkhana o Social
Rallye Class Entering _____________ Tour Class Entering_______________
o First Time Participants
All event results will be available for viewing at www.mgcc.org.
OFFICE USE ONLY
Date Rec’d_____________ Chk #_____________ Amt $_________________
Pre-sale orders must be Postmarked by May 22, 2015.
Total Regalia Cost
Amt Due $_______________________ Amt Ref $______________________
Regalia Items 2015
Celebrating the 60th Anniversary of the MGA we are giving you the opportunity
to put the final touches on the design for your 2015 Glenwood Springs Rallye
Regalia.
SIZES: A – Adult, XS – 4XL; AT – Adult Tall, LT - 4XLT; L – Ladies cut, XS
– 4XL; L3 – Ladies ¾ sleeve, XS – 4XL; Y – Youth, XS – XL; TOD – Toddler,
2T, 3T, 4T; I – Infant , 6M, 12M, 18M; For any size larger than XL, there is an
additional charge for each increase in size.
EMBROIDERY
The Logo is embroidered on the left side over where a pocket would be. Instead
of the Glenwood Springs Rallye Logo, you can request the MG Octagon (MGO)
and specify the thread color or MG Safety Fast (MGSF) in red thread or the
MGCC RMC Shield (RMC).
You can have the color of the car on the logo match the color of your garment.
Or for an additional $2 you can have the car be a different color (DIF) than the
shirt OR you can have the official logo (OFF) car (which is close to Glacier Blue).
POLO: Without or with a Pocket (P), Short Sleeved (SS) or Long Sleeved (LS). 7
oz 100% preshrunk cotton. Sizes: All (except Infant). Colors: TOD: CR, BLK, W,
RB, NY. Others: All. Prices: SS $31; Y & TOD $25. LS $32; Y $28 (no TOD).
Pocket: add $2. Tall: add $2. Extra sizes: add $3.
BALL CAP: Unstructured, Low profile, 100% cotton twill. Sizes: Adult or Ladies.
Colors: CR, NY, W, YW, BLLK, RB, BRG, IB, PK, MIN; Price: $20.
SWEATSHIRT: Crewneck (CN), Hooded (HD) , or full zip Hooded (HZ). 7.8
oz, 50/50 cotton/poly fleece. Sizes: All; Colors: W, PK, YW, IB, GB, CR, BRG,
MIN, NY, BLK. Prices: CN $22; Y $14. HD $32; TOD $24. HZ $40; Y $35;
TOD $28. Extra sizes: add $2.
A LL
Y E G LE
R
COLORS: The colors are as close to MGA colors as we can get. Use the code
for your color: OEW – Old English White; CR – Chariot Red; BLK - Black; ASH
- Ash Green; MIN - Mineral Blue; BRG - British Racing Green; DG - Dove Gray;
GB – Glacier Blue (teal); IB – Iris Blue; YW – Yellow; OFF – Official Logo
(GB). Additional colors available: PK – Pink; PR – Purple; W – White; RB –
Royal Blue; NY - Navy.
JUNE 12-14, 2015
63RD ANNUAL
G
N
I
SP R
S
Glenwood Springs Rallye Regalia with the “Forever” Logo: White Ball cap $20
and Grill Badge $38.
N WO OD
FLEECE JACKET: 13.8 oz 100% polyester. ¼ Zip (QZ) with no pockets or
full Zip (FZ) with zippered pockets. Sizes: QZ – Adult and Tall; FZ – All; Colors:
TOD & I – BLK, CR, W, NY, RB, PK. QZ & FZ: W, CR, BRG, BLK, NY, MIN.
Prices: QZ $37, FZ $39. Tall: add $4. Extra sizes: add $3.
DRESS SHIRT: 4.5 oz, 55/45 cotton/poly with a pocket. No Pocket on Ladies.
Long Sleeved (LS) or Short Sleeved (SS). Sizes: No Y, TOD or I. Colors: W, R,
PK, CR, YW, GB, IB, MIN, NY, BRG, BLK. Prices: SS and LS $36.Tall: add $2.
Extra sizes: add $2.
SCREEN PRINTS
There are two sizes of the logo: L – Large and S – small. Two Locations:
Normally the large is on the back (B) of the T-shirt, but could be on the front (F)
and the small is usually on the front left side (LF) over where a pocket would be.
If you want something different use codes to give size and location.
T-SHIRTS: Long Sleeved (LS) or short sleeved with pocket (SP) 5.5 oz 100%
cotton OR Short Sleeved (SS) 6.1 oz 100% cotton. None preshrunk. Sizes: All;
Colors: TOD & I – CR, MIN, GB, NY, PR, BLK, PK W. LS or SP – W, CR, NY,
MIN, BLK. All others: W, YW, PK, PR, IB, GB, MIN, NY, BRG, BLK. Prices: SS
$18. LS $26. Pocket: Add $4. Tall: add $3. Extra sizes: add $2.
RAGLAN (BASEBALL) T-SHIRTS: 2 colored; 4.8 oz 50/50 cotton/poly.
Raglan Hoodie or ¾ sleeves. Sizes: Young men’s and Juniors XS-4XL. Colors:
(Sleeve color/body) ¾ Sleeve - PK/W, R/W, BLK/W, NY/W; Hoodie – R/Gray,
BRG/Gray, BLK/Gray, NY/Gray. Prices: Hoodie $32, ¾ $25.